Certified Wound Specialist (CWS®)

Paradigm Physical Therapy has the only physical therapist who is a Certified Wound Specialist (CWS®). The Certified Wound Specialist board certification is a formal recognition of a master-level knowledge and specialty practice in wound management. The CWS board certification is the most prestigious and rigorous certification in wound care and demonstrates a distinct and specialized expertise in the practice. The CWS credential displays to patients, employers and peers a dedication to the highest standards and achievement in wound care.

The Wound Care Center at Paradigm Physical Therapy

Paradigm Physical Therapy has one of the most advanced wound care centers in the Permian Basin. Due to our advanced wound debridement techniques and state-of-the-art healing methods, the patient is able to heal with little discomfort and excellent outcomes.

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What is a Wound?

A wound is a break in the tissues of the body. Some injuries, like cuts and scrapes, are called open wounds; others, like deep bruises, are called closed wounds. Chronic wounds like venous stasis, diabetic (neurotropic), and arterial (ischemic) ulcers are wounds that are commonly treated in the elderly, diabetics, bed-bound, and chronically ill. Some wounds occur from post-surgical complications, such as infections and failed wound closure.

Venous Stasis Ulcer

Location on body:
Below the knee – primarily found on the inner part of the leg, just above the ankle. Ulcers may affect one or both legs.

Appearance:
Base – red in color and may be covered with yellow fibrous tissue. There may be a green or yellow discharge if the ulcer is infected. Fluid drainage can be significant.
Borders – Usually irregularly shaped. The surrounding skin is often discolored and swollen. It may even feel warm or hot. The skin may appear shiny and tight, depending on the amount of edema (swelling).

Who is affected?:
Venous stasis ulcers are common in patients who have a history of leg swelling, varicose veins, or a history of blood clots in either the superficial or the deep veins of the legs. Venous ulcers affect 500,000 to 600,000 people in the United States every year and account for 80 to 90 percent of all leg ulcers.

Diabetic Foot Ulcer

Location on body:
Usually occur on the bottom of the foot in pressure areas.
Who is affected?:
Diabetic ulcers are one of many complications of being a diabetic. Diabetics have severely decreased sensation due to neuropathy and decreased blood circulation to the feet.
Appearance:
Base – Pink in color and may have a white filmy texture.
Borders – Callused and thickened skin with possible redness.

Arterial Ulcer

Location on body:
Usually occur on the legs on the lower aspect.
Appearance:
Base – Red in color and has drainage.
Borders – Red and hot in feeling. Swelling is noted and this is very painful.

Who is affected?:
Patients with peripheral vascular disease (PAD).

Pressure ulcers

Post-operative wound complications from infection or wound openings
Incisions, lacerations, punctures wounds
First, Second, and Third Degree Burns


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